FORM 1023-EZ for FRESH NATION OUTREACH

Field Data
EIN 84-2484573
Case Number EO-2020016-000298
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRESH NATION OUTREACH
Organization’s Mailing Address 31100 TELEGRAPH RD
City BINGHAM FARMS
State MI
ZIP 48025
Accounting period End 12
Primary contact name URENIA RICKS-JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELVIS NIXON
PRESIDENT
31100 TELEGRAPH RD
BINGHAM FARMS MI 48025

Officer/Director/Trustee Two

JOHN PETTY
BOARD MEMBER
31100 TELEGRAGH RD
BINGHAM FARMS MI 48025

Officer/Director/Trustee Three

JAMES DANFORTH
BOARD MEMBER
31100 TELEGRAH RD
BINGHAM FARMS MI 48025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2018
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DELVIS NIXON
Signature Title PRESIDENT
Signature Date 1/14/2020

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